Chinese medicine for hepatitis B

  Patient Liu x x, female, 13 years old, lives in Handan City, Hebei Province.  Initial diagnosis: April 13, 2013.  She came to the clinic mainly because of weakness, lumbago, and frothy urine for more than 1 year. She was treated with corticosteroids, which resulted in femoral head necrosis, lumbar and hip pain, which affects her walking, so she came to the clinic. He came to the clinic with weakness, body fatigue, lumbar and hip pain, loose stools and frothy urine.  Diagnosis: red throat, white and greasy tongue coating, fine and slightly counted pulse, normal blood creatinine and urea nitrogen, 24-hour urine protein quantification 1.18g. Identification: deficiency of spleen and kidney, dampness and heat stagnation.  Treatment: Strengthening the spleen and tonifying the kidney, clearing dampness and heat, activating blood circulation and resolving blood stasis.  Prescription: Yu Ping Feng San and Mr. Lu Renhe Ji Gua Tang with addition and subtraction.  Prescription: Raw Astragalus membranaceus 45g, Fried Atractylodes Macrocephala 15g, Fried Atractylodes Macrocephala 15g, Fructus Fenghua 6g, Fried Coix Seed 25g, Fishole 20g, Forsythia 12g, Scutellaria Baicalensis 9g, Radix Angelicae Sinensis 12g, Rhizoma Ligustici Chuanxiong 12g, Salviae Miltiorrhizae 25g, Fu Ling 30g, Shi Wei 30g, Pierced Mountain Dragon 30g, Gou Qi 15g, Chuan Jian 15g, Sang Sang 15g, Fried White Peony 30g, Licorice 6g, Chuan Huai Niu Kne 15g, Papaya 15g, Su Ye 12g Boneset 15g Qingfengtang 30g Cockscomb 30g, 1 dose daily with water decoction. Combined with Zunren Wind Dispelling and Kidney Nourishing Capsules, 5 capsules each time, three times a day, after meals.  Second consultation: May 18, 2013. After taking the medicine, the pain in the waist and hip was relieved, but he still reported weakness, itching of the skin, red rash, 24-hour urine protein 0.58g. The original formula was changed to Astragalus membranaceus 60g, with the addition of Peach kernel 12g, Safflower 12g, Xu Changqing 15g and Radix et Rhizoma Dioscorea 25g. Third consultation: June 29, 2013. After taking the medicine for more than two months, all the symptoms improved, good mental state, rarely catching a cold in the past. The original formula was changed to Astragalus membranaceus 90g, with more Cicada molasses 12, Seaweed 30g and Oyster 30g. Daily 1 dose, water decoction.  Subsequently, check the medication, the condition continued to stabilize, and on February 23, 2014, the 24-hour urine protein 0.21g was rechecked, and the imaging of femoral head necrosis did not deteriorate. Routine urine examination continued to be negative.  [Note] Hepatitis B-associated nephritis is not uncommon clinically, and its inactive stage patients are commonly treated with corticosteroids in modern medicine. Although sometimes effective, many patients are reluctant to prefer hormonal treatment regimens due to the side effects of hormones. In this case, the application of hormones led to femoral head necrosis, so the patient turned to Chinese medicine for consultation and treatment. In this case, we are faced with the problem of how to prevent and treat femoral head necrosis, in addition to addressing the large amount of proteinuria. According to the theory of Chinese medicine that the kidney dominates the bone, the treatment of the femoral head to supplement the kidney treatment must be paid attention to. Referring to the modern medical emphasis on the mechanism of ischemic necrosis of the femoral head, we commonly use the treatment of activating blood circulation and removing blood stasis in clinical practice. Therefore, in this case, the patient chose to benefit the qi and strengthen the spleen, dispel wind and dampness, clear heat and detoxify the toxin, and chose Yu Ping Feng San with extra flavor, and with Professor Lu Renhe’s Ji Gua Tang to nourish the liver and kidney and strengthen the tendons and bones, so good results were achieved. Among them, the Wind Removal and Kidney Ning Capsules, which are specially developed by Beijing Zunren Institute of Medicine for eliminating urine protein, have the effect of regulating immunity, reflecting the idea of Chinese medicine from the wind, and are effective in treating chronic kidney disease proteinuria, rheumatism and rheumatoid arthritis pain.